Alma Najera
Administration/Insurance/Claims
Fresno,CA
Summary
Enthusiastic individual eager to contribute to team success through hard work, attention to detail and excellent organizational skills. Clear understanding of Customer Service and professionalism. Motivated to learn, grow and excel in all potential positions.
Overview
26
26
years of professional experience
3
3
years of post-secondary education
Work History
Workers' Compensation Claims Assistant
AmTrust/Risico
Fresno, CA
06.2022 - Current
- Posted payments to accounts and maintained records
- Generated, posted and attached information to claim files
- Maintained confidentiality of patient finances, records and health statuses
- Issued state mandated benefit notices to all involved parties
- Carried out administrative tasks by communicating with clients, distributing mail and scanning documents
- Managed over 40 pay cards per week and up to 15 tasks per day
Claims Processor
Great American Insurance Group
Fresno, CA
05.2019 - 06.2022
- Audited and Processed claims for payment in the CA and PNW territory
- Processed and paid up to 300+ claims per year
- Utilized MS Teams, Zoom, and Outlook for meetings and communication
- Researched Federal guidelines through the USDA Risk Management Agency pertaining to specific crop claims
- Evaluated accuracy and quality of data entered into agency management system
- Notified insurance agents and accounting departments of any claim status changes
- Posted payments to accounts and maintained records
- Calculated adjustments, premiums and refunds
- Modified, updated and processed existing claims
Group Fitness Instructor
GB3 Sports Club
Fresno, CA
07.2007 - 03.2020
- Created structured and innovative fitness programs to be executed in small to large group atmospheres.
- Provided guidance and inspiration to class members and recommended additional fitness resources.
- Encouraged sustainable habits for health, fitness and well-being.
- Instructed gym members about correct use of weight resistance and cardiovascular equipment.
- Cultivated positive relationships with participants by interacting with group during fitness classes.
- Established classes to effectively match skill and learning levels of all participants
- Enhanced client experience by maintaining motivational and supportive culture
- Created structured and innovative fitness programs to be executed in small to large group atmospheres
- Managed group fitness classes of up to forty participants
- Provided guidance and inspiration to class members and recommended additional fitness resources
- Demonstrated respect, friendliness and willingness to help wherever needed
Administrative Assistant
Pro Ag Insurance Company
Clovis, CA
12.2018 - 05.2019
- Office Ambassador
- Answered multi-line phone on Avaya Phone System
- Utilized Skype for Business
- Distributed and processed mail
- Scanned documents and used electronic filing
- Underwriter support
- Ordered office supplies
- Managed office events
- Demonstrated excellent customer service
- Answered multi-line phone system, routing calls, delivering messages to staff and greeting visitors
- Booked airfare, hotel and ground transportation to coordinate office travel
- Interacted with vendors to purchase and set up equipment and services
- Received and sorted incoming mail and packages to record, dispatch or distribute to correct recipient
- Set up conference rooms, technology and materials to facilitate meetings
Police Records Clerk
Madera Police Department
Madera, CA
01.2008 - 11.2011
- Researched, gathered, recorded, processed, retrieved, and distributed detailed law enforcement data and information to the Madera District Attorney's office, Madera County Sheriff's Department, and Madera Superior Court.
- Maintained and elevated level of confidentiality according to local, state, and federal laws.
- Copy, scanned, and faxed documents
- Assist Detectives with special projects
- Purged and filed police records and reports
- Created and maintained digital filing
- Proficient in Alfa-numeric filing
- Responded and resolved requests from the public with the highest standard of service.
- Maintained energy and enthusiasm in fast-paced environment
- Actively listened to customers' requests, confirming full understanding before addressing concerns
- Actively listened to customers, handled concerns quickly and escalated major issues to supervisor
- Carried out day-to-day duties accurately and efficiently
Customer Service Representative
Baird Insurance Agency
Fresno, CA
01.2003 - 09.2008
- Answered and directed phone calls
- Produced and distributed correspondence, memos, letters, and faxes.
- Maintained office supply inventory
- Distributed and processed mail
- Operated office machines
- Greeted and assisted visitors
- Updated account information to maintain customer records
- Provided primary customer support to internal and external customers
Education
Associate of Arts - Human Services Management
University of Phoenix
Fresno 01.2006 - 06.2009
Skills
Claims
Verbal and written communication
Excellent work ethic
MS Software proficiency
Basic accounting
Account management
Interpersonal Communication
Planning and Coordination
Timeline
Workers' Compensation Claims Assistant
AmTrust/Risico
06.2022 - Current
Claims Processor
Great American Insurance Group
05.2019 - 06.2022
Administrative Assistant
Pro Ag Insurance Company
12.2018 - 05.2019
Police Records Clerk
Madera Police Department
01.2008 - 11.2011
Group Fitness Instructor
GB3 Sports Club
07.2007 - 03.2020
Associate of Arts - Human Services Management
University of Phoenix
01.2006 - 06.2009
Customer Service Representative
Baird Insurance Agency
01.2003 - 09.2008